ATI RN Adult Med-Surg 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?

Correct Answer: C

Rationale: Decreased blood pressure indicates dehydration due to fluid loss.

Question 2 of 5

A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

A. Change dressings over the entrance and exit wounds. B. Obtain an ECG. C. Administer an opioid pain medication. D. Titrate IV fluids to maintain urine output at 75 mL/hr.

Correct Answer: B

Rationale: Electrical shock injuries can cause cardiac arrhythmias, making an ECG the priority to assess heart function.

Question 3 of 5

A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 69

Rationale: Convert 190 lb to kg (86.18 kg), multiply by 0.8 g/kg = 68.94, round to 69 g.

Question 4 of 5

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A. A client who has peritonitis reports generalized abdominal pain. B. A client who has pancreatitis reports pain in the left shoulder. C. A client who has angina reports substernal chest pain. D. A client who is postoperative reports incisional pain.

Correct Answer: B

Rationale: Referred pain from pancreatitis often radiates to the left shoulder.

Extract:

A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago

Coronary artery disease

Hypertension

Hyperlipidemia

Question 5 of 5

A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Potential Prescription	Anticipated	Nonessential	Contraindicated
Encourage the client to cough.
Keep the client's head in a midline position.
Elevate the head of the bed.
Assist the client to the bathroom.
Initiate seizure precautions.
Decrease oxygen to 1.5 L/min via nasal cannula.

Correct Answer:

Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.

ATI RN Adult Med-Surg 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN